Individual
CAROL L HOEKSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9631 269TH ST NW, STANWOOD, WA 98292-8071
(360) 629-1600
(360) 428-6485
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00022916
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016914
—
WA
Enumeration date
10/17/2005
Last updated
11/15/2011
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